Configurable Workflows · Laboratory

AI workflows for lab management.

CareChord’s agents can be configured around the order-to-payment lifecycle of a lab — working alongside your LIS or LMS to catch problems earlier, keep specimens and results moving, and get claims paid.

Order to payment

One connected workflow across the lab lifecycle.

Order & Requisition Review

Reads incoming orders from fax, portal, or EHR and checks for missing or mismatched demographics, diagnosis codes, and ordering-provider details before accessioning.

Medical Necessity & Authorization

Checks each test against payer coverage policies and prepares prior authorization requests for tests that require them.

Specimen Exception Handling

Tracks specimen status, flags delays or rejections, and drafts recollect requests for lab staff to review.

Results Follow-Up

Prepares result-delivery messages, tracks acknowledgment, and escalates unacknowledged results according to your protocols.

Lab Billing & Denials

Verifies coding, scrubs claims against payer rules, analyzes denials by root cause, and prepares corrected claims for resubmission.

Order review queueToday
OrderTest typeFindingStatus
O-3381MolecularAuth requiredRequest drafted
O-3382ChemistryMissing ICD-10Staff review
O-3383PathologySpecimen delayedStaff review
O-3384CytologyNo issuesReady
Checked before accessioning4 orders*

*Illustrative example workflow and product view for this mockup — not a live screenshot or customer data. Actual scope, rules, and review steps are defined with each customer.

Configuration

Built around how your lab actually runs.

Where people stay in control

Lab and billing staff make the calls that need judgment.

  • Authorization requests are reviewed before they’re submitted.
  • Recollect requests and specimen rejections go to lab staff first.
  • Results and critical-value communication follow your protocols, with your team responsible for clinical significance.
  • Appeals and corrected claims are approved by your billing team.

What gets configured

Same agents, set up for your lab.

  • Workflows — which steps run for which test types, and where review is required.
  • Payer & client rules — coverage policies, documentation requirements, and client-specific handling.
  • Systems — your LIS or LMS, EHR interfaces, and billing tools via FHIR, HL7 and REST APIs.
  • Reporting — turnaround, error, and denial views for lab operations and finance.

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CareChord — An Extensible Platform

Running a lab operation?

Tell us how orders, specimens, and claims move through your lab today, and we’ll map where CareChord fits.

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